Home › Drug Codes › CPT Codes › 90633 · HAVRIX PEDIATRIC
Updated July 1st, 2026

HAVRIX PEDIATRIC CPT Vaccine Code: 90633

Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use

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Medicare Payment Limit ?
Not published
Not on CMS's current vaccine price files
CDC Cost / Dose ?
$•••.••
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Private Sector Cost / Dose ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Medicare Coverage CMS publishes no Medicare Part B payment limit for HAVRIX PEDIATRIC. Vaccines given for routine prevention are generally covered under Medicare Part D rather than Part B.

Vaccine & Product Overview

HCPCS Descriptor Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Suspension

About HAVRIX PEDIATRIC

Havrix Pediatric is a medication aligned to the HCPCS CPT Drug Code: 90633 for billing, pricing, and reimbursement purposes in the United States. It is a Vaccine drug administered via the intramuscular route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

2 NDC packages are crosswalked to 90633. Package detail is available to logged-in subscribers.

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HAVRIX PEDIATRIC Pricing & Reimbursement

90633 Private Payer Reimbursement
$43.13 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

HAVRIX PEDIATRIC Vaccine Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
90460 Immunization administration via any route, first vaccine/toxoid component
90461 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine or toxoid component (List separately in addition to code for primary procedure).
90471 Login for More Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid) Login for More
90472 Login for More Immunization administration (each additional vaccine or toxoid), when performed in conjunction with primary procedure. Login for More

HAVRIX PEDIATRIC Medically Unlikely Edits (MUE)

The most billing units of 90633 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 dose.

Practitioner Office & Hospital Outpatient
1 unit / day
Same limit in both settings

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

HAVRIX PEDIATRIC Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Hepatitis A (prevention of disease caused by hepatitis A virus)
Drug Class
Actively Acquired Immunity [PE]Hepatitis A Vaccines [CS]Inactivated Hepatitis A Virus Vaccine [EPC]VaccinesInactivated [CS]

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Frequently Asked Questions

Is there an available Havrix Pediatric billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for HAVRIX PEDIATRIC.
Are there any available Havrix Pediatric patient assistance programs?
HAVRIX PEDIATRIC patient assistance information can be found through Multiple Manufacturers. Visit Here →
Where can I find Havrix Pediatric prescribing information?
Our team is still working to identify a prescribing information source for HAVRIX PEDIATRIC
Where can I find Havrix Pediatric side effect information?
Our team has not yet identified a source of side effects information for HAVRIX PEDIATRIC. Please check back in a few weeks.
Does billing HAVRIX PEDIATRIC require JZ/JW wastage modifiers?
CMS does not include HAVRIX PEDIATRIC (90633) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90633. For more information, visit the link below.

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